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Surgery to Move Widely Spaced Eye Sockets Closer

South Dakota rates for HCPCS 21263

Reconstructive surgery for a person whose eye sockets sit abnormally far apart, usually because of a difference in the way the skull and face formed before birth. The bone around each eye socket is cut free as a block, moved toward the midline, and secured in its corrected position.

Rates data updated July 2026.

Facilitymedian $3,802 · 10th–90th $2,455$5,1290%10%20%10th90th$3,802Professionalmedian $3,715 · 10th–90th $1,862$6,4570%10%10th90th$3,715$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,238.72
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,128.61
Typical High
$6,456.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,548.13
Typical High
$5,128.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,890.45
Typical High
$24,547.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,248.07
Typical High
$5,248.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,365.16
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,548.13
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,467.37
Typical High
$6,025.60
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,365.16
Typical High
$5,128.61